U. Sure et P. Kleihues, INTRACEREBRAL VENOUS THROMBOSIS AND HEMATOMA SECONDARY TO HIGH-VOLTAGE BRAIN INJURY, The journal of trauma, injury, infection, and critical care, 42(6), 1997, pp. 1161-1164
We report the case of a 19-year-old male who sustained an electrodynam
ic (16.67 Hz) high-voltage (15,000 V) railway overhead cable injury. N
e lost consciousness 30 minutes after contact and died secondary to br
ainstem herniation as a result of intracerebral swelling within 8 days
. Repeated cranial computed tomography revealed a huge hemispheric mas
s bleeding accompanied by subarachnoidal hemorrhage. Additionally, nec
ropsy showed an extensive thrombosis of the adjacent cerebral veins. T
he pathophysiological mechanism of this unusual injury is discussed.